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General NPI Number Information
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NPI Number | 1558969782
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Entity Type | Individual
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Provider Name | IRAHISA MERCEDES DISLA DNP, CRNA, APRN
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Gender | Female
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Dates
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Enumeration Date | 10/09/2020
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Last Update Date | 11/18/2025
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Provider Practice Location Address
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Address Line | 92 W MILLER ST
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City | ORLANDO
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State | FL
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Zip | 32806-2032
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Country | US
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Telephone | 321-841-4607
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Fax | 321-843-2152
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Provider Business Mailing Address
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Address Line | 11750 SW 40TH ST ANESTHESIA DEPARTMENT
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City | MIAMI
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State | FL
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Zip | 33175-3530
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Country | US
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Telephone | 305-223-3000
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 26NJ01132800
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | APRN11011571
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 9222629
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 132145
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License Number State | FL
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